Physician

Robert Lee, MD

According to 2025 Medicare claims, Robert Lee, MD (NPI: 1962401869) practices ophthalmology in the South Bend-Mishawaka, IN-MI market, with the plurality of this provider's patient population coming from St. Joseph, IN. This provider's primary affiliated billing organization is RETINA & VITREOUS L L C (NPI: 1093999609; TIN: 35-2034552) and primary practice location at 46635-1543.

Lee's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 790 traditional Medicare patients, billed 8,887 HCPCS/CPT codes, and received $1,235,888 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,539 prescription claims across 830 beneficiaries totaling $47,934 in drug costs, led by Gentamicin Sulfate (Gentamicin Sulfate). 2023 DME data shows 12 claims. Open Payments data shows 5 records totaling $322. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $544,874 to $1,235,888. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$618K$1.2M2015 Medicare payment: $544,874 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $631,102 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $657,277 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $649,535 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $721,589 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $605,115 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,026,580 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $670,954 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,025,380 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,235,888 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159776,786$544,874
20169877,521$631,102
20179837,806$657,277
20188677,275$649,535
20197866,221$721,589
20208345,478$605,115
20218826,964$1,026,580
20228666,197$670,954
20237888,200$1,025,380
20247908,887$1,235,888

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$37K$73K2015 Drug cost: $46,235 (USD; Tot_Drug_Cst)2016 Drug cost: $42,815 (USD; Tot_Drug_Cst)2017 Drug cost: $48,099 (USD; Tot_Drug_Cst)2018 Drug cost: $41,590 (USD; Tot_Drug_Cst)2019 Drug cost: $41,804 (USD; Tot_Drug_Cst)2020 Drug cost: $48,561 (USD; Tot_Drug_Cst)2021 Drug cost: $56,519 (USD; Tot_Drug_Cst)2022 Drug cost: $64,786 (USD; Tot_Drug_Cst)2023 Drug cost: $73,231 (USD; Tot_Drug_Cst)2024 Drug cost: $47,934 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155621,839$46,235
20165751,813$42,815
20176171,912$48,099
20185851,884$41,590
20195881,924$41,804
20207172,373$48,561
20217752,811$56,519
20228422,577$64,786
20238362,678$73,231
20248302,539$47,934

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$41$832023 Medicare payment: $83 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R12$83
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more209209$110
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more454565$82
67028Injection of drug into eye3432,390$78
J9035Injection, bevacizumab, 10 mg2771,805$54
92134Imaging of retina6112,002$29

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Gentamicin SulfateGentamicin Sulfate1,08438,682$15,105
MoxifloxacinMoxifloxacin Hcl2524,661$7,231
Prednisolone AcetatePrednisolone Acetate1556,437$6,035
RhopressaNetarsudil Mesylate13449$4,024
Ketorolac TromethamineKetorolac Tromethamine1344,398$2,846

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$322Harrow Eye, LLC
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Robert Lee, MD?

Tedicare shows public-source Medicare data for Robert Lee, MD (NPI 1962401869), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Robert Lee, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Robert Lee, MD?

Robert Lee, MD is linked to RETINA & VITREOUS L L C (billing NPI 1093999609) in the available physician profile data.

Does Robert Lee, MD have Open Payments data?

Robert Lee, MD has 5 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.